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JORDAN LEE BROOKS MS MHCA SUDP CPC
NPI 1265988349
Counselor - Mental Health in Kelso, WA

Active since August 29, 2016
1710 ALLEN ST, KELSO, WA 98626(602) 617-0203 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2025, Jan 3, 2024, Dec 4, 2023 and 2 more (5 updates tracked since 2016).

About Jordan Lee Brooks Ms Mhca Sudp Cpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN LEE BROOKS MS MHCA SUDP CPC (NPI 1265988349) is an individual mental health provider in Kelso, Washington, licensed in Washington (MC61475302) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1265988349
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJORDAN LEE BROOKSCredential: MS MHCA SUDP CPC
Location Address1710 ALLEN STKelso, WA 98626-4907
Mailing Address1116 14th AveLongview, WA 98632-3017 · (360) 261-6930 · Fax (360) 748-4480
Phone(602) 617-0203
Sole ProprietorNo
Enumeration DateAugust 29, 2016
Last NPPES UpdateJune 25, 20265 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1265988349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · MC61475302
Also ListedCounselorTaxonomy 101Y00000X · License MC61475302 (WA)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CP60848399 (WA)
1710 ALLEN ST, Kelso, WA 98626
Open in Google Maps ↗

Other Identifiers 1

Medicaid2064734WA

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KYLER RAHN
Social Worker
1710 ALLEN ST
KELSO, WA 98626
Cowlitz County (360) 261-7020
KIMBERLY MICHELLE ANDERSON MA
Counselor (Mental Health)
1710 ALLEN ST
KELSO, WA 98626
Cowlitz County (360) 261-7020
JAYME FISHER
Counselor (Mental Health)
1710 ALLEN ST
KELSO, WA 98626
Cowlitz County (360) 261-7020
PATRICIA-LOUISE MARIE GOODWIN
Counselor
1710 ALLEN ST
KELSO, WA 98626
Cowlitz County (360) 261-7020
MS. PAMELA ANNE HAMILTON LMHC
Counselor (Mental Health)
1710 ALLEN ST
KELSO, WA 98626
Cowlitz County (360) 261-7020
MR. STEPHEN MAYNARD LCSW
Social Worker (Clinical)
1710 ALLEN ST
KELSO, WA 98626
Cowlitz County (360) 261-7020
DEE J.F. WITT MS
Counselor
1710 ALLEN ST
KELSO, WA 98626
Cowlitz County (206) 474-2001
JOHN DUFFIN MCSHANE II MA
Counselor
1710 ALLEN ST
KELSO, WA 98626
Cowlitz County (360) 261-7020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Brooks's NPI number?

The NPI number for Jordan Brooks is 1265988349. It was assigned to this individual provider in the NPPES registry on August 29, 2016.

Where is Jordan Brooks located?

Jordan Brooks practices at 1710 Allen St, Kelso, WA 98626. The listed phone number is (602) 617-0203.

What is Jordan Brooks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jordan Brooks was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.